Final Thesis

EFFECTS OF PHONOLOGICAL AWARENESS: CONTEXTUALIZED VERSUS
DECONTEXTUALIZED TRAINING APPROACH
Lorri L. Street
B.S., California State University, Sacramento, 1999
THESIS
Submitted in partial satisfaction of

the requirements for the degree of
MASTER OF SCIENCE
in
SPEECH PATHOLOGY
at
CALIFORNIA STATE UNIVERSITY, SACRAMENTO
FALL
2009

A Thesis
by
Lorri L. Street
Approved by:
, Committee Chair
Candace L. Goldsworthy, Ph.D.
, Second Reader
Laureen OHanlon, Ph.D.
Date
ii
Name of Student: Lorri L. Street
I certify that this student has met the requirements for format contained in the University
format manual, and that this thesis is suitable for shelving in the Library and credit is to
be awarded for the thesis.
, Graduate Coordinator
Laureen OHanlon, Ph.D.
Date
Department of Speech Pathology and Audiology
iii
Abstract
of
by
Lorri L. Street
Statement of the Problem
Research has suggested that approximately 25% of children do not make the
connection between sounds (phonemes) and the letters that represent those sounds
(graphemes) on their own. This disconnection, or lack of phonological sensitivity, makes
learning to read and spell both arduous and frustrating for beginning readers.
The purpose of this study was to examine and compare the effects of two training
programs on phonological awareness abilities in six children performing below grade
level in their reading skills. The six participants participated in two individual, 1-hour,
pre-and post-testing sessions, and then met in groups of three, twice weekly for 30
minutes for a total of 10 therapy sessions per group. The pre- and post- testing sessions
included administration of the Phonological Awareness Skills Program Test (PASP)
(Rosner, 1999), the Clinical Evaluation of Language Fundamental (CELF-4) Subtest:
Rapid Automated Naming (RAN) (Wiig, Secord, & Semel, 2003), the Expressive
Vocabulary Test (EVT-2) (Williams, 2008), and the Peabody Picture Vocabulary Test
(PPVT) (Dunn & Dunn, 2006).
iv
Additionally, one month prior to the start of the PAT study the six participants
phonemic awareness skills were measured using the standardized assessment Dynamic
Indicators of Early Literacy Skills (DIBELS) (Good & Kaminski, 1996), administered by
a school-based Intervention Specialist. During the remaining ten sessions, three
participants received traditional phonological awareness training and three participants
received modified RAVE-O, which includes, phonological awareness training. The
traditional approach to phonological awareness training (PAT) employed skill building
activities consistent with the hierarchy of phonological awareness (rhyming, segmenting,
blending, on-set rimes) without an association to literature. The modified-RAVE-O
approach differed in method with emphasis on building an inventory of easily retrievable
components of language, through the introduction of phonological, semantic, and
orthographic activities associated to a core curriculum reading book.
Conclusions Reached
The scores from both the modified-RAVE-O training group and the traditional
phonological awareness training group indicated a departure from recent phonological
awareness therapy trends of incorporating contextualized content into training. These
results suggested that there are not significant differences in treatment outcomes between
contextualized and decontextualized phonological awareness training.
, Committee Chair
Candace L. Goldsworthy, Ph.D.
Date
v
ACKNOWLEDGEMENTS
This study could not have been undertaken without the guidance and support of
several valued individuals. First, I must thank Candace L. Goldsworthy, Ph.D., for her
infectious passion to tirelessly work toward the improvement of childrens literacy
competency. She embraced my desire to seek out further knowledge on this topic, and her
expert guidance and trust in me will forever be respected and remembered. Also, a special
thanks to Laureen OHanlon, Ph.D., for her informed statistical support despite my
phobia of both technology and numbers.
My sincerest thanks go to Ms. Chris Hoover, an extraordinary teacher without
compromise, who helped in many ways by sharing with me her experience, wisdom,
friendship, and most importantly, her students. Without her the commencement of my
study would have been far more daunting.
Last, but in no way least, my heartfelt thanks and deepest appreciation goes to my
much-loved husband, Jerry. Without his enduring commitment and steadfast
encouragementthrough a couple of meltdownsmy journey of returning to college and
completing my Masters program would not have come to fruition.
vi
S
T
R
I
V
E
tart small
hink possibilities
each beyond your known abilities
nvest all you have in your dreams
isualize miracles
xpect to experience success
(author unknown)
vii
TABLE OF CONTENTS
Page
Acknowledgements............................................................................................................vi
List of Tables......................................................................................................................xi
List of Figures...................................................................................................................xii
Chapter
1. REVIEW OF THE LITERATURE...............................................................................1
Introduction............................................................................................................1
Students at Risk for Reading Difficulty.....................................................2
Phonological Awareness: The Difference Between Good and Poor
Readers.................................................................................................4
The School-Based Speech-Language Pathologists Role in Fostering
Literacy.................................................................................................8
The Assessment of Phonological Awareness Skills...................................10
Phonological Awareness Training: A Relationship to Improve
Reading Skills......................................................................................14
Traditional (Decontextualized) Approach to Phonological Awareness
Training...............................................................................................16
Modified-RAVE-O: A (Contextualized) Approach to Phonological
Awareness Training.............................................................................19
Statement of the Problem......................................................................................22
2. METHODOLOGY......................................................................................................23
viii
Design....................................................................................................................23
Participant Selection and Methods for Obtaining Data: Pre-Testing........23
Participants................................................................................................27
Procedures for Obtaining Data: Post-Testing............................................28
Therapy Approaches..............................................................................................29
Modified RAVE-O Therapy......................................................................29
Traditional Phonological Awareness Training...........................................32
3. RESULTS....................................................................................................................35
Group Characteristics: Dynamic Indicators of Basic Early Literacy Skills..........35
Group Comparisons: Dynamic Indicators of Basic Early Literacy Skills.............37
Group Characteristics: Peabody Picture Vocabulary Test 4th Edition.................38
Group Comparisons: Peabody Picture Vocabulary Test 4th Edition...................39
Group Characteristics: Expressive Vocabulary Test 2nd Edition.........................40
Group Comparisons: Expressive Vocabulary Test 2nd Edition...........................41
Group Characteristics: Phonological Awareness Skills Program Test...................42
Group Comparisons: Phonological Awareness Skills Program Test.....................43
Group Characteristics: Clinical Evaluation of Language Fundamentals 4th
Edition, Subtest Rapid Automatic Naming (RAN).........................................43
Group Comparisons: Group Characteristics: Clinical Evaluation of Language
Fundamentals 4th Edition, Subtest Rapid Automatic Naming (RAN)..........45
4. DISCUSSION..............................................................................................................47
ix
Dynamic Indicators of Basic Early Literacy Skills (DIBELS), Subtest, Oral

Reading Fluency (ORF)..................................................................................48
Peabody Picture Vocabulary Test 4th Edition (PPVT-4).....................................48
Phonological Awareness Skills Program Test (PASP)...........................................49
Expressive Vocabulary Test 2nd Edition (EVT-2)...............................................49
Clinical Evaluation of Language Fundamentals 4th Edition (CELF-4),
Subtest Rapid Automatic Naming (RAN).......................................................50
5. IMPLICATIONS.........................................................................................................53
Appendix A. Parental Consent..........................................................................................58
Appendix B. Assent to Participate.....................................................................................60
Appendix C. Parent Letter.................................................................................................61
Appendix D. Modified RAVE-O Training........................................................................62
Appendix E. Traditional Phonological Awareness Training..............................................69
References.........................................................................................................................71
LIST OF TABLES
Page
1.
Modified RAVE-O Group. DIBELS. Mean Levels of Performance........................35
2.
Traditional Phonological Awareness Training Group. DIBELS. Mean Levels of

Performance..............................................................................................................36
3.
Modified RAVE-O Training Group. PPVT-4. Mean Levels of Performance...........38
4.
Traditional Phonological Awareness Training Group. PPVT-4. Mean Levels

of Performance.........................................................................................................38
5.
Modified RAVE-O Training Group. EVT-2. Mean Levels of Performance.............40
6.
Traditional Phonological Awareness Training Group. EVT-2. Mean Levels

of Performance.........................................................................................................40
7.
Modified RAVE-O Training Group. PASP. Mean Levels of Performance...............42
8.
Traditional Phonological Awareness Training Group. PASP. Mean Levels

of Performance.........................................................................................................42
9.
Modified RAVE-O Training Group. CELF-4. Mean Levels of Performance..........44
10.
Traditional Phonological Awareness Training Group. CELF-4. Mean

Levels of Performance..............................................................................................44
11.
Post-Therapy Comparison in Mean Changes of Scores...........................................51
xi
LIST OF FIGURES
Page
1.
Dynamic Indicators of Basic Early Literacy Skills (DIBELS), mean level of

performance comparison scores...............................................................................37
2.
Peabody Picture Vocabulary Test 4th Edition (PPVT-4)........................................39
3.
Expressive Vocabulary Test, Second Edition (EVT-2).............................................41
4.
Phonological Awareness Skills Program Test (PASP)..............................................43
5.
Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Automatic Naming (RAN), mean level of performance comparison scores by
seconds.....................................................................................................................45
6.
Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Automatic Naming (RAN), mean level of performance comparison scores
by errors....................................................................................................................46
xii
1
Chapter 1
REVIEW OF THE LITERATURE
Introduction
With little or no direct instruction, almost all young children develop the ability to
understand spoken language. While most kindergarten children master the complexities
of speech, they do not have the awareness that spoken language is made up of discrete
words, which are made up of syllables, which themselves are made up of the smallest
units of sound called phonemes (Sensenbaugh, 1994). The term phonological
awareness refers to a general appreciation of the sounds of speech as distinct from their
meaning. When that insight includes an understanding that words can be divided into a
sequence of phonemes, this finer-grained sensitivity is termed phonemic awareness
(Snow, Burns, & Griffin, 1998, p. 51). This innate phonemic awareness skill development
arrived at through a metalinguistic process called phonological awareness is a skill
most crucial to success in reading and spelling. Lonigan et al. (1998) described
phonological awareness as sensitivity to the segmental nature of speech, an explicit
understanding that spoken language comprises discrete units ranging from entire words
and syllables to smaller units of onset-rimes, and phonemes. More simply stated,
phonological awareness is the ability to notice, think about, and manipulate sounds. The
intrinsic awareness that spoken language is made up of discrete sounds along with
phonological access to lexical storage, is paramount to acquiring proficiency in literacy
(Torgesen & Mathes, 2000). Wolf and Bowers (1999) maintained, a major tenet of the
best developed theory of reading disabilities is that a core deficit in phonological
2
processes impedes the acquisition of word recognition skills, which in turn, impedes the
acquisition of fluent reading (p. 1). Phonological awareness is not only correlated with
learning to read, but is a foundational skill underlying the learning of spelling-sound
correspondence (Stanovich, 1984). Once beginning readers have some awareness of
phonemes and their corresponding graphic representations, research indicates that further
reading instruction heightens awareness of language, assisting then in developing the
later stages of phonemic awareness. Thus, phonemic awareness is both a prerequisite for
and a consequence of learning to read (Yopp, 1992, p. 697). Unfortunately, children with
phonological awareness deficits rarely catch up, but instead, fall increasingly behind in
their reading development, which in turn affects all areas of academic learning.
This chapter will focus on research findings in the following areas: (a) students atrisk for reading disabilities, (b) differences between good and poor readers, (c) essential
role that todays school-based Speech and Language Pathologist plays in fostering
literacy (d) assessment of phonological awareness skills, (e) phonological awareness
training and its relationship to improved reading skills, (f) traditional (decontextualized)
phonological awareness training approach with no association to literature, versus (g)
contextualized phonological awareness training connected to literature.
Students at Risk for Reading Difficulty
The National Institute of Child Health and Human Development (NICHD)
(2000b) reported that the failure of children to develop early phonological awareness
skills has become a national concern. Indisputably, adequate reading skills play a vital
role in the future of children, both in their academic and work-related success. Many
3
fluent adult readers, who believe they acquired the skill of reading with ease, may assume
that learning to read is a natural process and a simple skill for children to learn (Rayner,
Foorman, Perfetti, Pesetky, & Seidenberg, 2001). Reading, however, is not a natural act
and many children experience great difficulty learning to do it. Reading disorders, in fact,
are thought to be one of the most common forms of learning disabilities (Gittleman &
Feingold, 1983). For at least 20-30% of American children, learning to read is an arduous
task (Lyon, 1995). And, without help the problem worsens over the course of the childs
educational career (Goldsworthy, 2003). Multiple and complex factors contribute to poor
reading outcomes in urban schools; for example, minority children and children who
come from impoverished families (Snow et al., 1998). Reading deficits are
disproportionally high among poor minority children, which may attribute to
overrepresentation of minority groups in educational placement of special education
(Shaywitz, Shaywitz, Fletcher, & Escobar, 1990). Males are also likely to be
overrepresented due to their maladaptive behaviors, while their female counterparts are
frequently underrepresented in teachers referrals of reading disabilities (Shaywitz et al.,
1990). According the National Institute of Child Health and Human Development
(NICHD) (2000a),
Approximately 10 million students experience problems learning to read; 10-15%
of these drop out of high school; approximately 2% complete four-year college
programs; approximately 50% of adolescents and young adults with criminal
records have a history of reading problems, and 50% of youths with substance
abuse histories have reading problems. (p. 3)
4
In order to stem the escalation of reading problems impacting literacy, educators
and specialists must early on identify significant contributing factors such as
phonological awareness difficulties and provide solutions toward reducing this
nationwide dilemma.
Phonological Awareness: The Difference Between Good and Poor Readers
A large body of research indicated that the primary problems for childrens poor
performance in reading were deficits in phonological awareness (Morris et al., 1998).
Persistence of phonological deficits and reading difficulty is the most common
characteristic of children with learning disabilities. Phonological awareness seems a
reliable predictor in early literacy to future reading success (Backus, 2005). Catts, Fey,
Zhang, and Tomblin (2001) found that a kindergarten measure of phonological awareness
was one of five factors to predict the label of reading disabilities in second grade.
Although several other factors have been correlated with poor reading ability, Synder and
Downey (1997) also concluded that phonological deficits are the most prominent oral
language deficits in children and adults with reading disabilities. In addition to the
predictive feature of phonological awareness to reading success, some researchers
insisted that phonological awareness and reading were in reciprocal relationship (Cataldo
& Ellis, 1988; Wagner, Torgesen, & Rashotte, 1994). That is, phonological awareness
interacts with reading experience. Phonological awareness initially influences reading
development, and the process of learning to read will, in turn, heighten the abilities in
phonological awareness. Furthermore, when children try to read decodable text they often
pronounce a new word by applying the alphabetic principle, which positively impacts this
5
self-teaching process as well as enhance their vocabulary (Share, 1995). Reading
instruction, that emphasizes decoding printed words highlights the sound structure of
language and improves phonological awareness as well (Lundberg & Hoien, 1991).
There are a variety of traits that differentiate good from poor readers. For one
thing, when good readers confront an unfamiliar printed word, they use many different
strategies for word analysis, while poor readers simply try to sound out the word. If
sounding out the word fails, poor readers have no alternative strategies. Good readers are
able to rely on developmentally intact phonological processing abilities as mental
operations that make use of the phonological or sound structure of oral language when
learning how to decode written language (Torgesen, Wagner, & Rashotte, 1994, p. 276).
The importance of phonological awareness in developing reading skills has been proved
by many researchers (Ball & Blachman, 1991; Bradley & Bryant, 1985; Lundberg, Frost,
& Peterson, 1988). In the 1980s, British researchers Bradley and Bryant found that a
preschoolers phonological aptitude predicts his reading three years later (as cited in
Macmillan, 1997, p. 55). In the 1990s, Shaywitz and other researchers found that
phonological difficulties were the most significant and consistent markers of dyslexia in
childhood (2003, p. 55). In recent years, researchers have made strides in understanding
the causal basis of reading disabilities (Torgesen et al., 1994; Wolf & Bowers, 1999).
One feature of children with reading disabilities or dyslexia was the discrepancy between
their reading performance and other cognitive abilities (Stanovich, 1988). Deficits in
phonological awareness and related phonological processing have been found to be
responsible for many children with reading disabilities although their other cognitive
6
abilities were above average (Catts, 1996; Wolf & Bowers, 1999). Difficulty in
connecting the printed letters (graphemes) with their represented sounds (phonemes) is
one detriment to fluent, effortless word recognition, and in turn negatively influences
reading comprehension, the ultimate goal of reading instruction (OShaughnessy &
Swanson, 2000).
Phonological awareness is not the only deficit identified in poor readers. Other
factors potentially predict or influence reading outcomes, such as, alphabet knowledge,
rapid naming abilities, verbal memory, auditory discrimination, working memory, and
grammatical ability (Catts, 1996; Stackhouse, Nathen, Goulandris, & Snowling, 1999).
Rapid naming and letter knowledge are additional factors responsible for poor reading
achievement (Treiman, Broderick, Tincoff, & Rodriguez, 1998; Wolf, Bowers, & Biddle,
2000). Although poor readers may exhibit some reading growth with the passage of time,
it is difficult for them to catch up to strong readers because their negative attitude towards
reading constitutes a barrier to reading fluency (Allington, 1994; Juel, 1988). In a
longitudinal study Catts and colleagues (2001) tracked reading achievement of 604 young
children and reported more than 70% of poor readers had a history of deficits in
phonological awareness or other areas of oral language in kindergarten. They found that
even typically developing children may have one or two problems in phonological
awareness skills when starting to learn to read; however, they may make sufficient
progress to meet the standard criteria after instruction and practice. If the delays in
phonological awareness skills are not addressed the deficits may last through life, which
would prevent children from ever catching up with their peers, and increase the
7
discrepancy in reading development between children with and without reading problems
(Juel, 1988; MacDonald & Cornwall, 1995; Scarborough, 1998; Stuart & Masterson,
1992). Early phonological deficits may have long-term negative effects preventing young
children from benefiting from the typical reading development trajectory. As a result,
phonological deficits contribute to difficulties in other academic areas because classroom
content is mainly delivered through written words. Juel (1988) studied the reading and
writing development of 54 children with low socioeconomic background from first to
fourth grade. The participants progress in phonological awareness, decoding, word
recognition, spelling, comprehension, and writing were monitored by assessments each
year. Juel found that children identified with poor phonological awareness at the end of
first grade had a high probability to be poor readers at the end of fourth grade. The
majority of fourth graders with poor reading performance in this study continued to
experience difficulty in decoding monosyllabic nonsense words. In another a longitudinal
study, McDonald and Cornwell (1995) assessed word recognition, phonological
awareness, and reading comprehension in teenagers on whom data was collected since
they were kindergarteners. The researchers reported that the phonological awareness
scores in kindergarten were highly related to the performance in phonological awareness
11 years later. They recognized the persistence of phonological deficits over a period of
many years and also recognized phonological awareness as a long-term predictor to word
identification and spelling skills when the participants reached 17 years old. The
influence of phonological deficits could be described as Matthew effect, in which
children with good phonological awareness skills at the beginning get richer (i.e., better)
8
in later reading skill development, while those with poor phonological awareness skills
get poorer (Stanovich, 1986).
The School-Based Speech-Language Pathologists Role in Fostering Literacy
Many children referred to speech-language pathologists during their preschool
years attain their treatment goals, and are then dropped from the speech therapy
caseloads. It is not uncommon however, to find many of these same children surfacing
again in elementary school with significant problems in reading, spelling and writing
(Goldsworthy, 1996). It is widely accepted that instruction in phonological awareness
accelerates reading growth development. Numerous studies have demonstrated the
effects of phonological awareness instruction on early reading success providing
evidence that explicit training in phonological awareness skills positively influenced the
gains on phonemic awareness, decoding, and spelling (Vellutino & Scanlon, 1987).
Speech Pathologist Sarah James (2008) stated:
The role of the school based Speech-Language Pathologist in literacy
intervention, specifically phonological awareness training, is a practical fit to their
existing knowledge linked to literacy evaluation and, therefore, to instruction.
Speech-Language Pathologists do not need additional, extensive training, nor do
they need to become reading teachers; they are fully equipped with on-hand
knowledge of the five critical areas one needs to be a good reader: phonemic
awareness, phonics, vocabulary, text comprehension, and fluency. (p. 2)
According to Goldsworthy (1998):
9
Children who are risk and children with known reading problems must have
access to a team of specialists trained to work with oral language problems that
evolve in later language problems. If that team is to succeed in correctly
identifying children who are at risk for later reading problems, and if that team is
to succeed in working with some of the oral language problemsthen surely that
team must include the speech-language pathologist as one of its key members. (p.
vii)
Therefore, it is fundamentally sound and appropriate for the school based SpeechLanguage Pathologist to recognize, embrace and cultivate his/her role in supporting the
literacy development in children.
The Assessment of Phonological Awareness Skills
The known correlation between difficulties with phonological awareness and later
reading problems reinforces the value in assessing a childs phonological and phonemic
awareness skills (Hegde & Maul, 2006, p. 316). In todays society, the failure to read
proficiently has profound educational and life consequences it is the most likely
reason that children drop out of school, are retained, or are referred to special education
(Parker, 1999). Numerous studies including correlation studies (Perfetti, 1987),
longitudinal studies (Bradley & Bryant, 1983; Lundberg et al., 1988), and training studies
(Ball & Blachman, 1991; Cunningham, 1990; Hatcher, Hulme, & Ellis, 1994) have
reported that phonological awareness is a crucial predictor in early literacy development.
In order to understand which phonological awareness skills need to be trained the
skills to target need to be assessed to determine where appropriate instruction begins.
10
There are a number of phonological awareness skills, which can be measured by various
tasks. Frequently used measurements of phonological awareness may include auditory
discrimination, blending, counting, deletion, isolation, rhyme, segmentation, and
substitution, sound categorization, tapping, and reversing order of sounds (Ball &
Blachman, 1991; Lundberg et al., 1988; Yopp, 1988). Torgesen et al. (1994) divided the
assessment in phonological awareness into two levels. The sensitivity to rhyme or
alliteration was required at the beginning level, such as identifying which of three words
begins or ends with the target word. The advanced level involved explicit manipulation or
separation of the individual sounds, such as pronouncing the initial sound of a word, or
pronouncing a word with deletion of a specific phoneme. Adams (1990) based her
phonological awareness measures on five tasks: phonemic segmentation tasks, phonemic
manipulation tasks, syllable-splitting tasks, blending tasks, and oddity tasks (e.g.,
recognize which word was different from others based on the first, middle, or last sound).
Wang (1999) categorized phonological awareness tasks in alphabetical system as syllable,
onset-rime, and phoneme levels.
Torgesen and Mathes (2002) grouped all phonemic awareness measures into
three broad categories: sound comparison, phoneme segmentation, and phoneme
blending. They did not include measures of sensitivity to rhyme or syllables because the
larger units in a word seemed less predictive of reading disabilities than individual
phonemes. Sound comparison sometimes called phoneme identity involves a variety of
formats, and requires children to discriminate between the sounds in different words.
This test is appropriate to use on kindergarten-age children because it focuses on basic
11
level without asking children to pronounce or manipulate the individual phonemes. For
example, children are required to choose a word that begins or ends with the same
phoneme of the target word (e.g., dog, cup; which has the same first sound as the word
cat?). In the 1990s the term synthesis task was sometimes used to indicate sound
blending (Torgesen & Bryant, 1994). In sound blending, children are orally presented
onsets and rimes, or a sequence of separate phonemes and are required to blend them
together to create a word. For example, tasks in onset-rime blending require children to
blend onsets and rimes and to form words (e.g., what word do these sounds make? /d/
and /og/).
Phoneme blending skills are measured by asking children to blend three to four
phonemes into words (e.g., what word do these sounds make? /m/o/p/). Sound
segmentation skills, sometimes called analysis tasks, are the most frequently used when
measuring phonological awareness. Sound segmentation tasks require a relatively explicit
level of phoneme awareness and are viewed as high-level ability in the phonological
awareness hierarchy. This involves requiring children to break words into smaller sound
units and say the sounds in a left-to-right order. Some children may not successfully
segment at the phoneme level, but are able to segment words at onsets-rime level.
Segmentation at the phoneme level is commonly used in assessments, including
segmenting the initial, middle, or last phoneme of a word (e.g., what sound does hit
start with?), or segmenting a one-syllable word into three to four phonemes (e.g., what
sounds do you hear when I say man?) (Torgesen & Mathes, 2002). Phoneme counting
(tapping), defined as identifying the number of phonemes contained in a target word, is a
12
variation of sound segmentation (Bruck, 1992). Wang (1999) divided phonological
awareness into various categories:
(a) Phoneme segmentation, including the first sound identification (e.g., what sound
does tap begin with?), or segmenting a word into individual phonemes (e.g., what is
the first sound you hear in tap?).
(b) Phoneme blending to form words (e.g., what word do these sounds make? /t/a/p/).
(c) Phoneme deletion, including saying the word while deleting one phoneme (e.g., if
the /s/ is taken away from Sam, what word is left?).
(d) Phoneme substitution, including replacing one phoneme with another (e.g., instead
of saying the first sound in tap say the /s/ sound instead, and tell me the new word.)
(e) Phoneme discrimination (oddity task), including choosing a word with different first,
last, or middle sound from other words (e.g., which word from tap, tall, dog, tom
has a different first sound from the others?) Additionally, some variations exist, such as
phoneme reversal (Mercer & Mercer, 2005). For older children, tasks measuring
manipulating phonemes such as phoneme counting, phoneme deletion, phonemes
switching, or initial sound categorizing are used.
The Dynamic Indicators of Basic Early Literacy Skills (DIBELS) is a
measurement tool frequently used in schools to assess pre-reading and reading skills.
Good and Kaminski (1996) developed the test to provide continuous assessment of
students fluency with fundamental literacy skills, and to predict future reading skills.
Based on a prevention-oriented model, DIBELS measures all skills regarded as Big
Ideas of Early Literacy: phonological awareness, alphabetic principle, fluency with
13
connected text, vocabulary, and comprehension. The subtests within the DIBELS, all of
which have been empirically validated, are comprised of seven subtests: Letter-Naming
Fluency (LNF), Initial Sound Fluency (INF), Phoneme Segmentation Fluency (PSF),
Nonsense Word Fluency (NWF), Oral Reading Fluency (ORF), Retell Fluency (RTF),
and Word Use Fluency (WUF). Two of the subtests in DIBELS specifically relate to
phonological awareness skill assessment. PSF subtest assesses whether a child is able to
verbally produce the individual sounds in the correct sequence when a spoken word with
3-4 phonemes is presented. The NWF subtest assesses if a child can apply letter-sound
correspondence to read words. Nonsense words (e.g., num, kic, feg) are used to prevent
students from correctly responding due to the familiarity of the words tested. Because
DIBELS is easy to administer with time-efficient procedures, it allows for a students
level to be quickly determined. These measures are instructionally relevant and in
accordance with the focus of early reading intervention, and further help to direct the
focus for additional reading support.
Phonological Awareness Training: A Relationship to Improve Reading Skills
Instruction in phonological awareness is important for most children and critical
for others. Children with language-based reading disabilities typically have underlying
problems in their fundamental phonological code (Catts, 1996). Success in early reading
depends a great deal on achieving a certain level of phonological awareness competency.
The effectiveness of phonological awareness instruction on reading development
has been corroborated by existing studies. Wagner and Torgesen (1987) reported that
early performance on phonological awareness tasks in kindergarten or first grade is a
14
powerful predictor of later reading achievement. In order to read, a child first must
understand that a word is composed of smaller units, and further have the ability to break
up words into sounds. Only then are they ready to learn letter-sound relationship and
begin to sound out unfamiliar words.
Specifically, phonological segmentation skills have been identified as the most
reliable predictor to apply alphabetic principle to pseudo-word decoding, which in turn is
necessary for new words learning and reading (Ehri, Nunes, Willows, Schuster, YaghoubZadeh, & Shanahan, 2001; Yopp, 1988). Consequently, students with poor reading skills
early on in life are likely to continue having poor reading skills in the future. According
to Lance, Swanson, and Peterson (1997), phonological awareness is not one
dimensional, but instead considered to be a constellation of cognitive abilities that are
related to a childs understanding of the segmental nature of English (p. 1002). Given
this complexity, it is essential for students to develop an understanding of how letters
map onto sounds (phonemes) to create sound-symbol correspondences and spelling
patterns. The knowledge of the relationship between letters and sounds, that is, the
alphabetic principle, is the hallmark of successful readers (Adams, 1990). Goldsworthy
(2003) described the results of this cognitive progression,
As phonemes begin to emerge as definite forms, the child becomes aware of them
as structures in and of themselves. Becoming aware of these structures is critical
for the language learner to develop strong, efficient phonological representations.
The child comes to appreciate that phonemes can be played with as if they were
mental toys. Words can be broken into parts; syllables within syllable can be
15
added, deleted, and/or moved around in words. Becoming aware of phonemes as
structures provides a solid foundation onto which the learner can build, that is, the
learner can add another layer of language, namely a visual representationthe
phonological code forms foundation onto which the graphemes system will be
laid (pp. 1-2).
Traditional (Decontextualized) Approach to Phonological Awareness Training
Phonological awareness training in the traditional sense is a decontextualized
approach with an emphasis on instructional content that is linear in strategy and typically
void of connection to literature. Adams (1990) divided a childs phonological awareness
into five hierarchical categories: (a) knowing words are composed of sounds, and being
able to remember 28 familiar rhymes; (b) being sensitive to sounds and able to recognize
rhyme and alliteration in words; (c) being able to blend and segment words at syllable
level; (d) being able to segment words at phoneme level; and (e) the ability to manipulate
phonemes by adding, deleting, or altering phonemes to form a new word. Grossen and
Carnine (1993) identified several essential components of a successful phonological
awareness training program to facilitate childrens reading abilities. These components
included: letter-sound correspondences taught explicitly and systematically beginning at
the most frequently used letter sounds; phoneme blending taught for later word reading;
corrective feedback delivered orally and immediately; and fourth, extensive practice
provided, such as applying the learned letter-sound correspondence to real words. Snow
and colleagues (1998) identified what they considered to be critical elements of effective
early reading intervention as: teaching the alphabetic principle, promoting phonological
16
awareness, and integrating these components with activities to develop comprehension
and fluency skills. Additionally, concrete representation of sound is suggested by
researchers, involving the use of objects, such as, blocks, picture cards, plastic letters, and
magnetic letters to represent a sound. After reviewing evidence-based research, Foorman
and Torgesen (2001) found the effectiveness of a training program would be maximized
on at-risk children if the instruction was delivered more explicitly and comprehensively,
more intensely, and supportively in small-group or one-on-one formats. Poskiparta,
Niemi and Vauras (1999) studied the effects of linguistic awareness practice on at-risk 1st
grade readers who were identified on the basis of their poor phonological awareness
skills. The core of their research specifically focused on improving the skills of phoneme
blending, word recognition, spelling, and listening comprehension. At the end of the
study the results showed the intervention group demonstrated more growth in their
phonological awareness development then the non-intervention group.
The intervention approach of van Kleeck, Gillam, and McFadden (1998) was built
around a broad array of phonological skills. The study was conducted on sixteen
preschool children with developmental speech and language disorders. The participants
received instruction in rhyming, phoneme judgment and correction, initial sound
identification, generation of initial sounds, and identification of initial and final sound
combinations. Results showed the instruction was most helpful for children
with little or no phonological awareness skills before training, and that
phonological awareness training in classroom contexts appeared to be
successful with preschool children with a wide range of speech and
17
language abilities. Lundberg, Olofsson, and Wall (1980) examined the effects of
phonological awareness training on reading and spelling. The participants were
kindergarten children being divided into two groups. The experimental group received
20-25 minutes training per day focusing on rhyme production, word segmentation,
syllable segmentation and synthesis (blending), deletion of initial phonemes and
segmentation and synthesis (blending) of phonemes, while the control group did not
receive any instruction. After entering the first grade for seven months, the experimental
group outperformed the control group on measures in speed and accuracy of silent word
decoding with only trend level (<.10) significance. The experimental group significantly
outperformed the control group on a measure of dictated spelling and fluency
assessments, and the effects were maintained until second grade. The outcome of this
study demonstrated the causal relationship between metalinguistic competence
(phonological awareness), and reading and spelling skills. Treiman and Zukowski (1991)
found that dividing words into onsets and rimes were the first phonological skills children
developed. They further discovered that children developed segmentation skills at the
phoneme level at the onset of learning to read. These findings implied that the
development of phonological awareness may also be reciprocal with reading instruction
in an alphabetic system.
The bi-directional relationship between phonological awareness and literacy
growth was apparent in a multitude of studies reviewed. The implication consistently
revealed is that explicit instruction in phonological awareness both prior to and during
reading instruction is critical. However, that said, the sequence and rate of phonological
18
awareness levels vary across learners, and many skills overlap during development
(Lane, Pullen, Eisele, & Jourdan, 2002). In spite of all the numerous practices of
traditional phonological awareness training, other approaches to improving literacy
continue to be studied and put into practice. The need to further explore and gather
knowledge about non-traditional phonological awareness intervention methods is
essential in broadening further opportunities for the prevention of reading failure.
Modified-RAVE-O: A (Contextualized) Approach to Phonological Awareness Training
An outgrowth of the increased awareness of the importance of phonological
awareness to reading competency was new research conducted to determine best
practice for approaching intervention. As an alternative to the traditional
decontextualized phonological awareness training approach, Wolf, Miller, and Donnelly
(2000) reported on a new intervention program called Retrieval, Automaticity,
Vocabulary Elaboration, and Orthography (RAVE-O). RAVE-O was developed by and
evaluated at Tufts University, Center for Reading and Language Research by Wolf,
Morris, and Lovett (1999) as a comprehensive, fluency-based reading intervention
program that combines the best knowledge about phonological processes, decoding
principles, and vocabulary development with new knowledge about lexical retrieval and
automaticity for the sub-processes of reading.
The RAVE-O program is known to work systematically and simultaneously not
only at the word level, but also on multiple linguistic components at the connected
text level with the major goal to teach struggling readers explicitly in multiple
19
ways, and over many different exposures, what we want their brains to do on their
own (Wolf et al., 2000, 2).
Meaningful, literacy-based (contextualized) phonological awareness training can
be a significant resource for the continuum of oral to written language intervention.
Goldsworthy (1998) maintained that there is an advantage of using vocabulary from
stories that children are already familiar with either from reading in their homes or
classroom curriculum. Vocabulary from a favorite story is more likely to be salient to
children allowing for more easily recognized words. The familiar words are then used in
word games, as the words themselves hold relevant interest to the children, engaging
their attention and enjoyment.
School-based Speech-Language Pathologists seldom, if ever, have the customary
preparation time allotted to classroom teachers. Having large caseloads that dictate time
constraints, student contact rarely reaches the levels necessary for implementing the full
scope of the RAVE-O training program. Recently, a morphing of sort, of the original
RAVE-O program into an adaptation recognized as modified-RAVE-O made an
entrance (Goldsworthy, 2008). The more streamlined and less time intensive m-RAVE-O
approach to phonological awareness training is easily compatible with literature relevant
to curriculum. Much like the original RAVE-O program, m-RAVE-O is also an explicitly
trained literature based phonological awareness intervention method that introduces an
integrated and layered sequence of steps in four phases of training. Both approaches share
the common goal of teaching children to achieve accuracy and automaticity in the
retrieval of multiple components related to words that include letter and letter-pattern
20
knowledge, multiple meanings, grammar, and morphological endings. m-RAVE-O works
systematically and simultaneously at the word level, text level, and with multiple
linguistic components by teaching reading explicitly and in multiple ways. The four
phases of m-RAVE-O consist of, Phase I: includes a series of phonological awareness
skill building activities integrating the hierarchy of phonological awareness. Phase II:
includes an introduction of core words from the curricula or childrens reading book and
begin the orthographic representation. This phase includes: asking participants to produce
the sounds that letters make, create on-set rimes (word families) first separated with
dashes and then without dashes, and to generalize the on-set rimes into bigger words.
Participants are then asked to create multiple meanings from the core words and write the
on-set rimes and multiple meanings in a journal. Additionally, Phase II includes the
review of any previous weeks definitions and multiple meaning using word sorts. Phase
III: continues with all the steps described in Phase II, but adds word webs and Whquestions for one or more meaning to each core word. Phase III continues to cultivate the
orthographic component introduced in Phase II, by having the participants write words
from the word webs into the journal and reviewing the previous weeks definitions. The
final step, Phase IV: completes the phases by cycling through all the steps described in
Phases II and III, plus the review of the previous weeks core word definitions and
completion of writing exercise worksheets. Together, this combination of seamless
layering of relevant words connection facilitates the association between the oral to
written continuum of language linked to literature.
21
Statement of the Problem
Phonological awareness cannot be disputed as playing a crucial role in reading
and overall academic achievement. Reducing the number of children with reading
difficulties must continue as a committed focus for the school-based Speech-Language
Pathologist. The development and delivery of innovated phonological awareness training
methods that go beyond the traditional approaches of intervention should be both
embraced and practiced in an all out effort for Educators and Specialists to reduce further
proliferation of literacy problems.
This current research was designed to answer the following question: In a schoolbased speech-language therapy setting is there significant differences in treatment
outcomes between contextualized phonological awareness training versus a
decontextualized intervention approach?
22
Chapter 2
METHODOLOGY
Design
This study was conducted over a period of eight weeks, six weeks of therapy
sessions and one week each for pre- and post- testing. Two groups of three participants
each identified with reading difficulties were selected to participate in twelve, 30-minute
group therapy sessions. Each participants phonological awareness skills, rapid automated
naming abilities, receptive and expressive vocabulary skills, and reading fluency were
pre-tested prior to commencement of the first therapy session. In the following six weeks
three participants were enrolled in a traditional (decontextualized) phonological
awareness training program, while the other three participants were enrolled in the mRAVE-O (contextualized) phonological awareness training program. The skills
mentioned above were then post-tested during the eighth week of the study.
Participant Selection and Methods for Obtaining Data: Pre-Testing
The six participants, two boys and four girls ranging in age from seven years, four
months to seven years, nine months, were selected from a second grade class at Taylor
Street Elementary School, in the Robla School District. Each student was an English-only
speaker, and had no prior history of vision or hearing problems. The six participants were
narrowed from a group of 16 2nd graders who were enrolled in a lower academic level
class. The parents of all six participants reported their child experiencing academic
difficulties, mostly related to problems with reading. In the month prior to the
commencement of this study each participant was given a progress monitoring
23
assessment for oral reading fluency as part of an on-going 2nd grade reading
measurement.
The Dynamic Indicators of Basic Early Literacy Skills (DIBELS), subtest Oral
Reading Fluency (ORF) (Good & Kaminski, 1996), was used as a standardized,
individually administered test that measured the participants fluency in 2nd grade-level
connected text. The ORF was designed to (a) identify children who may need additional
instructional support, and (b) monitor progress toward instructional goals. The passages
are calibrated for the goal level of reading for each grade level. Student performance is
measured by having students read a passage aloud for one minute. Words omitted,
substituted, and hesitations of more than three seconds are scored as errors. Words selfcorrected within three seconds are scored as accurate. The number of correct words per
minute from the passage is the oral reading fluency score. Additional language
assessments were conducted at the onset of the first week of the study. Those tests
included: The Phonological Awareness Skills Program (PASP) test (Rosner, 1999),
Peabody Picture Vocabulary Test 4th Edition (PPVT) (Dunn & Dunn, 2006), Expressive
Vocabulary Test 2nd Edition (EVT) (Williams, 2008), and the subtest Rapid Automatic
Naming (RAN) from the Clinical Evaluation of Language Fundamentals (CELF-4) test
(Semel et al., 2003).
The PASP test assessed each participants skills in phonological awareness
development. The test was designed to involve an active, synthesis-via-analysis process
requiring the examinee to do something to information being presented. This included
taking words apart (analyzing), then putting words back together (synthesizing). The
24
results of this process revealed each participants understanding of how words are
organized, and provided measurement of any phonological awareness deficits (Rosner,
1993).
The Rapid Automated Naming subtest from the CELF-4 is a good predictor for
students at-risk for not acquiring beginning reading skills. The test evaluated each of the
participants ability to (a) visually process and store repeated visual stimuli (colors,
shapes, and color-shape combinations) in working memory and (b) naming the visual
stimuli automatically, accurately, fluently, and quickly in a timed, rapid and automatic
naming task. These skills directly relate to preschool and elementary school requirements
for processing pictured or printed visual stimuli such as objects, numbers, and letters
The PPVT 4 assessed each participants receptive (hearing) vocabulary. Since
vocabulary is strongly related to reading comprehension ability, a person must know the
meaning of the words he or she is reading in order to understand the text (Dunn & Dunn,
2006). Vocabulary knowledge may also contribute to reading success in other, less
obvious ways, such as, supporting young children to be better able to analyze the
representation of sounds in words (Metsala, 1999).
The EVT-2 assessed the participants expressive vocabulary and word retrieval.
Specifically, it measured expressive vocabulary knowledge with two types of items,
labeling and synonym (Williams, 2008).
Results of the language skills and oral reading fluency pre-therapy testing of all
six participants revealed evidence of deficits in several areas of oral language skills. The
Oral Reading Fluency subtest from DIBELS revealed five of the participants were below
25
the January, 2009, targeted goal of 70 WPM. One exception was a participant whose
January, 2009 oral reading fluency measurement met the targeted goal of 70 WPM. On
the PASP pre-therapy assessment, of the six participants, three scored lower than ageequivalency, one scored at age-equivalency, and two scored higher than age-equivalency.
Of interest to note is two of the participants who scored higher than age-equivalency on
the PASP, one had reached the DIBELS January, 2009, targeted goal of 70 WPM, while
the other remained below the targeted goal, attaining only 27 WPM. On the RAN subtest
from the CELF-4, the Color-Shape Time Criterion, of the six participants, three
participants scored in the Normal range, one scored in the Slower Than Normal range,
and two scored in the Non-Normal range. In the Color-Shape Error Criterion, all six
participants scored in the Normal range. For the PPVT-4 pre-therapy assessment, four
participants scored in the Low Average range, all with Standard Scores in the low 90s.
The other two participants fell in the Moderately Low Average, with Standard Scores in
the low 80s. The EVT-2 test was administered as the final pre-therapy assessment, and of
the six participants tested, two scored Average, three scored in the Moderately Low
Score range, and one scored in the Low Average range.
Participants
Written permission for each participant to participate in this study was obtained
from parents and the participants themselves (see Appendices A and B). Through a
randomized selection procedure, each participant was assigned to either Group A, the
Modified RAVE-O Training group, or Group B, the Traditional Phonological
Awareness Training group. The resulting two groups of three participants each were well
26
matched in terms of age, gender, academic levels and reading fluency scores. The group
receiving Modified-RAVE-O training had lower mean pre-therapy standard scores on the
PPVT-4, EVT-2, and the subtest RAN from the CELF-4, than the Traditional Phonological
Awareness Training group, however, the results of the pre-therapy mean standard scores
for both groups on the PPVT-4, EVT-2, and the PASP, were very close in result outcomes.
Modified RAVE-O participants. Participant 1, a female aged 7 years, 10 months.
Her speech was observed as normal in rate and prosody, and she correctly articulated all
speech sounds in conversation. She was enrolled in the lowest level of 3, 2nd grade classes
because of low academic achievement. Additionally, she had a history of high
absenteeism along with some mild behavioral problems. Neither of these problems
affected the pre- testing, but very likely contributed to the lower post-testing scores.
Participant 2, a female aged seven years, four months. Her speech was observed
as normal in rate and prosody, and she correctly articulated all speech sounds in
conversation. She too was enrolled in the lowest level of 3, 2nd grade classes due to low
academic achievement.
Participant 3, a male, aged seven years, six months. His rate a speech was
observed as mildly fast in rate, but with normal prosody. He correctly articulated all
speech sounds in conversation. He was enrolled in the lowest level of 3, 2nd grade class
due to low academic achievement.
Traditional phonological awareness training participants. Participant 1, a female,
aged seven years, six months. Her speech was observed as normal in rate and prosody,
27
and she correctly articulated all speech sounds in conversation. She was enrolled in the
lowest level of 3, 2nd grade class due to low academic achievement.
Participant 2, a female, aged seven years, four months. Her speech was observed
as normal in rate and prosody. She correctly articulated all speech sounds in conversation.
She was enrolled in the lowest level of 3, 2nd grade class due to low academic
achievement.
Participant 3, a male, aged seven years, nine months. His speech was observed as
fairly fast in rate, but with normal prosody, but correctly articulated all speech sounds in
conversation. He was enrolled in the lowest level of 3, 2nd grade class due to low
academic achievement.
Procedures for Obtaining Data: Post Testing
For purposes of comparing phonological awareness, expressive and receptive
vocabulary, rapid automatic naming, and oral reading fluency progress, post-therapy
assessment data was obtained from all six participants through re-administration of the
pre-therapy tests; The Phonological Awareness Skills Program (PASP) test, Peabody
Picture Vocabulary Test 4th Edition (PPVT), Expressive Vocabulary Test 2nd Edition
(EVT), and the subtest Rapid Automatic Naming (RAN) from the Clinical Evaluation of
Language Fundamentals (CELF-4) test
All six participants evidenced an increase in their oral reading fluency skills
measured by the ORF subtest of DIBELS, progress monitoring conducted in March,
2009. All three participants in the Modified RAVE-O group evidenced an improvement in
their oral reading fluency skills between January and March, 2009. The post-therapy
28
mean increase for this group was 11.33 WPM. The Traditional Phonological Awareness
Training group participants also demonstrated improvement in their oral reading fluency
skills with a higher post-therapy mean increase of 16.67 WPM.
Therapy Approaches
Modified RAVE-O Therapy
Once initial testing was completed during week one, three of the participants were
introduced to a method of therapy modeled after a comprehensive, fluency-based reading
intervention program called Retrieval, Automaticity, Vocabulary, Elaboration,
Orthography (RAVE-O) (Wolf & Miller, 1997; Wolf et al., 2000). The Modified RAVE-O
(m-RAVE-O) program is a more streamlined and less time intensive adaptation of the
RAVE-O program, but keeps intact the foundational premise of integrating phonological,
orthographic, and semantic knowledge. m-RAVE-O is easily compatible with literature
relevant to curriculum allowing for an explicitly trained literature based phonological
awareness intervention method integrating a layered sequence of four phases of training.
Both the RAVE-O and m-RAVE-O methods share the common goal of teaching children
to achieve accuracy and automaticity in the retrieval of multiple components related to
words. This includes letter and letter-pattern knowledge, multiple word meanings,
grammar, and morphological endings taught systematically and simultaneously at the
word and text level, and incorporates several linguistic components teaching reading
explicitly in multiple ways.
Beginning with week 1 of therapy the three participants of the m-RAVE-O group
were introduced to Phase 1 of the program. This comprised a series of hierarchal
29
phonological awareness skill building activities that included: activities at the word level;
counting words, identifying missing words from a list, and identifying a missing word in
a phrase or sentence. Activities at the syllable level included syllable counting, syllable
deleting, syllable adding, syllable reversing, and syllable substituting. Activities at the
phoneme level included initial sound matching, blending onset-rimes in monosyllabic
words beginning with blends and single consonant, rhyme recognition, sound
categorization, matching initial and final sound-to-word, supplying initial and final
sounds in words, segmenting initial and final sounds in words, deleting initial and final
sounds in words, substituting initial and final sounds in words, segmenting the middle
sound in monosyllabic words, and deleting sounds within words. Additionally, during the
first week, a pre-selected, and salient, language arts curriculum story was read to the
participants twice. Starting with week 2 of therapy, and continuing through the 4th week,
Phase II reviewed blending and segmenting individual phonemes, introduced five core
words from the selected curriculum story, and integrated orthographic representation by
having the participants write the core words into a journal. Phase II also included having
the participants produce sounds of letters, create onset-rimes first separated with dashes
and then without dashes and generalize the onset rimes into bigger words. Participants
were asked to create multiple meanings from core words and write the onset-rimes and
multiple meanings in a journal. Additionally, Phase II included the review of the previous
weeks definitions and multiple meaning through the use of word sorts. The 5th week of
therapy moved into Phase III by continuing with the steps described in Phase II, but
adding word webs and Wh-questions for one or more meaning to each core word. Phase
30
III carried on the cultivation of the orthographic component introduced in Phase II, by
having the participants write words from the word webs into their journals and reviewing
the previous weeks definitions. Lastly, weeks 6 and 7 culminated in the Phase IV. This
phase completed the program by cycling through all the steps described in Phases II and
III, in addition to reviewing the previous weeks core word definitions, and completing
writing exercise worksheets such as filling in sentence blanks using the core words.
Together, this combination of a seamless layering of relevant word connection
facilitated the association between oral to written continuum of language while linked to
curriculum literature.
Traditional Phonological Awareness Training
Phonological awareness intervention typically has followed a traditional approach
where a speech pathologist introduces a hierarchical series of discrete, linear
phonological awareness activities, none of which integrate literature or an orthographic
component. Because phonological awareness skills seem to develop along a continuum
from rhyme to segmenting, the hierarchy of activities also move in a continuum of less
complex tasks (rhyming) to more complex tasks (blending and segmenting individual
phonemes). Once pre-therapy assessment was completed, the three participants of the
Traditional Phonological Awareness Training group were introduced to the hierarchy of
phonological awareness skill building activities. Week 1, began with a variety of rhyming
tasks including: listening and discriminating rhyming words, rhyme matching, identifying
31
two out of three printed rhyming words, and producing rhyming words when given a
stimulus word.
During the 2nd week of training sentence segmentation was introduced with
discrete skill building activities that included: breaking sentences into individual words
by means of clapping out the words in the given stimulus sentence. Once the participants
had mastered the listening/discrimination task, week 3 of the training provided the
participants with colored cubes and instruction to listen to stimulus sentences and put
together the cubes to reflect the number of words heard in a sentence. During week 4,
CLOZE activities were incorporated where the participants had to identify a missing
word in phrases and sentences. In the 5th week of training, syllable segmentation and
blending was introduced. The activities for syllable segmentation included having the
participants listen to and discriminate words into syllables by clapping out the syllables in
words along with the clinician. The first names of the participants were introduced
initially to provide a link of familiarity to the word/syllable relationship. Once the
participants had mastered the listening/discrimination task, they were again provided
colored cubes and instructed to listen to the stimulus word and put together the cubes
representing the number of syllables heard in a word. The syllable blending activities had
the participants listen to stimulus syllables provided by the clinician and put them
together to identify the word. For example: Ti-ger (Say and clap ti-ger). The
participants were also asked to identify how many syllables they heard in a word. For
example: How many parts?(two). Tiger has two syllables (ti-ger). Syllable deleting,
32
adding, reversing and substituting were other activities included in the syllable
segmentation and blending tasks.
From here the training continued with the introduction of onset-rimes, the next
more complex level of the phonological awareness continuum. Onset-rime familiarized
the participants with the idea of word families, and helped develop their concept of
rime versus rhyme. The group was taught that rhyme referred to the same sounds
in words such as dog/fog, whereas rime referred to whatever sounds are left in a word
after the initial consonant(s) is/are removed, such as, c/at and st/op. During week 6,
the last week of training the final and highest level of the phonological awareness
hierarchy, blending and segmenting individual phonemes, was introduced. The blending
phoneme activities included listening to a sequence of individual sounds and combining
them to produce a word. For example, blending together the sounds /b/a/d/ to produce
the word bad. Other activities at the phoneme level included initial and final sound
matching, supplying initial and final sounds to word parts, deleting initial and final
sounds in words, substituting initial and final sounds in words, and deleting sounds
within words. These individual skill sets were re-introduced to the participants through
cycling a variety of clinician-devised activities at the beginning of each subsequent
therapy session.
33
Chapter 3
RESULTS
Group Characteristics: Dynamic Indicators of Basic Early Literacy Skills
Tables 1 and 2 summarize both groups mean pre- and post-therapy performance
levels on the subtest Oral Reading Fluency of the Dynamic Indicators of Basic Early
Literacy Skills (DIBELS) (Good & Kaminski, 1996). Mean pre-therapy scores, posttherapy scores, the differences between them, and the associated standard deviations (SD)
are listed for the two groups: Modified RAVE-O and Traditional Phonological Awareness
Training.
Table 1
Modified RAVE-O Group. DIBELS. Mean Levels of Performance
PreSubtest
Oral Reading
Fluency
(WPM)
Standard
Post-
Standard
Mean
Therapy Deviation Therapy Deviation Increase/Decrease

58.67
12.06
70.00
19.70
+11.33
34
Table 2
Traditional Phonological Awareness Training Group. DIBELS. Mean Levels of
Performance
PreSubtest
Oral Reading
Fluency
(WPM)
Standard
Post-
Standard
Mean

42.33
15.50
59.00
13.11
+16.67
35
Group Comparisons: Dynamic Indicators of Basic Early Literacy Skills
Figure 1 illustrates each groups pre- and post-therapy scores on the Oral Reading
Fluency subtest. Tables 1 and 2 delineate the mean change in these scores.
Figure 1. Dynamic Indicators of Basic Early Literacy Skills (DIBELS) (Good &
Kaminski, 1996), mean level of performance comparison scores.
36
Group Characteristics: Peabody Picture Vocabulary Test 4th Edition
levels on the Peabody Picture Vocabulary Test 4th Edition (PPVT-4) (Dunn & Dunn,
2006). Mean pre-therapy scores, post-therapy scores, the differences between them, and
the associated standard deviations (SD) are listed by standard scores for the two groups:
Modified RAVE-O and Traditional Phonological Awareness Training.
Table 3
Modified RAVE-O Training Group. PPVT-4. Mean Levels of Performance
Pre-
Standard
Post-
Standard
Mean

90
PPVT-4
3.6
90.33
4.04
+0.33
Table 4
Traditional Phonological Awareness Training Group. PPVT-4 Mean Levels of
Performance
Pre-
Standard
Post-
Standard
Mean

PPVT-4
91.67
.49
95.33
4.16
+16.67
Group Comparisons: Peabody Picture Vocabulary Test 4th Edition

Figure 2 illustrates each groups pre- and post-therapy scores on the Peabody
Picture Vocabulary Test 4th Edition. Tables 3 and 4 delineate the mean change in these
37
scores. Figure 2 measured the understanding of the spoken word in standard
American English, mean level of performance comparison scores.
Figure 2. Peabody Picture Vocabulary Test 4th Edition (PPVT-4) (Dunn & Dunn, 2006).
38
Group Characterisits: Expressive Vocabulary Test 2nd Edition
levels on the Expressive Vocabulary Test, Second Edition (EVT-2) (Williams, 2008).
Mean pre-therapy scores, post-therapy scores, the differences between them, and the
associated standard deviations (SD) are listed by standard scores for the two groups:
Modified RAVE-O and Traditional Phonological Awareness Training.
Table 5
Modified RAVE-O Training Group. EVT-2. Mean Levels of Performance
Pre-
Standard
Post-
Therapy
Deviation
Therapy
86.00
12.16
92.67
EVT-2
Standard
Mean
Deviation Increase/Decrease
8.32
+6.67
Table 6
Traditional Phonological Awareness Training Group. EVT-2. Mean Levels of
Performance.
Pre-
Standard
Post-
Standard
Mean

EVT-2
88.00
9.16
93.67
4.04
+5.67
39
Group Comparisons: Expressive Vocabulary Test 2nd Edition
Figure 3 illustrates each groups pre- and post-therapy scores on the Expressive
Vocabulary Test 2nd Edition. Tables 5 and 6 delineate the mean change in these scores.
Figure 3 measured expressive vocabulary and word retrieval, mean level of performance
comparison scores.
Figure 3. Expressive Vocabulary Test, Second Edition (EVT-2) (Williams, 2008).
40
Group Characteristics: Phonological Awareness Skills Program Test
levels on the Phonological Awareness Skills Program Test (Rosner, 1999). Mean pretherapy scores, post-therapy scores, the differences between them, and the associated
standard deviations (SD) are listed for the two groups: Modified RAVE-O and Traditional
Phonological Awareness Training.
Table 7
Modified RAVE-O Training Group. PASP. Mean Levels of Performance
PASP
Pre-
Standard
Post-
Therapy
Deviation
Therapy
10.67
3.78
15.33
Standard
Mean
10.11
+4.67
Table 8
Traditional Phonological Awareness Training Group. PASP. Mean Levels of Performance
PASP
Pre-
Standard
Post-
Therapy
Deviation
Therapy
10.33
10.69
12.67
Standard
Mean
13.20
+2.33
Group Comparisons: Phonological Awareness Skills Program Test

Figure 4 illustrates each groups pre- and post-therapy scores on the Phonological
Awareness Skills Program Test. Tables 7 and 8 delineate the mean change in these scores.
41
Figure 4 illustrates a comprehensive measurement of phonological awareness skills,
mean level of performance comparison scores.
Figure 4. Phonological Awareness Skills Program Test (PASP) (Rosner, 1999).
Group Characteristics: Clinical Evaluation of Language Fundamentals 4th Edition,

Subtest Rapid Automatic Naming (RAN)
Table 9 and 10 summarize both groups mean pre- and post-therapy performance
levels on the Clinical Evaluation of Language Fundamentals 4th Edition, Rapid
Automatic Naming subtest (RAN) (Semel, Wiig, & Secord, 2003). Mean pre-therapy
scores, post-therapy scores, the differences between them, and the associated standard
42
deviations (SD) are listed for the two groups: Modified RAVE-O and Traditional
Phonological Awareness Training.
Table 9
Modified RAVE-O Training Group. CELF-4. Mean Levels of Performance
Subtest
Pre-
Therapy
RAN/Seconds 105.33
RAN/Errors
1.00
Standard
Post-
Standard
Mean
Deviation
35.13
Therapy
78.00
Deviation
17.34
Increase/Decrease
-27.33
3.00
2.64
+2.00
Table 10
Traditional Phonological Awareness Training Group. CELF-4. Mean Levels of
Performance
Subtest
Pre-
Therapy
RAN/Seconds 161.67
RAN/Errors
1.67
Standard
Post-
Standard
Mean
Deviation
42.15
Therapy
111.33
Deviation
23.75
Increase/Decrease
-50.33
1.52
2.00
1.73
+0.33
Group Comparisons: Group Characteristics: Clinical Evaluation of Language

Fundamentals 4th Edition, Subtest Rapid Automatic Naming (RAN)
Figures 5 and 6 illustrate each groups pre- and post-therapy scores on the Clinical
Evaluation of Language Fundamentals 4th Edition, subtest Rapid Automatic Naming
(RAN). Table 9 delineates the mean change in these scores.
43
Figure 5. Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Automatic Naming (RAN) (Semel, Wiig, & Secord, 2003), mean level of
performance comparison scores by seconds.
44
Figure 6. Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Automatic Naming (RAN) (Semel, Wiig, & Secord, 2003), mean level of
performance comparison scores by errors.
45
Chapter 4
DISCUSSION
This study was designed to answer the following question: In a school-based
speech-language therapy setting is there significant differences in treatment outcomes
between contextualized phonological awareness training versus a decontextualized
intervention approach? The study included six subjects, described as having considerable
delays in reading skills, thus, impacting age-level academic achievement. Each subject
participated in twice weekly, 30-minute training sessions for six weeks. Three
participants received modified-RAVE-O training, while the other three participants
received traditional phonological awareness training. The modified RAVE-O training
began with phonological awareness activities delivered in hierarchal order to strengthen
participants skills to better work with phonemes and rime patterns prior to the
introduction of orthographic presentation. Additionally, a pre-selected curriculum story
was read to the group twice prior to presenting five core words from the story. Onset and
rime drills were then added using cards printed with the five core words, and all of their
possible combinations. As the modified-RAVE-O training cycled through its phases,
vocabulary, word-webbing, and journal writing activities were integrated in an attempt to
increase the participants word recognition and retrieval skills. The ultimate intent of the
training was to improve the participants word attack and passage comprehension skills.
Traditional Phonological Awareness Training was delivered in a hierarchal continuum of
complex phonological awareness activities, without any relationship to literature.
46
Since this study included a small number of subjects, any statistical analysis
should be viewed with caution. The following discussion of the results presented in
Chapter 3 summarizes some important trends revealed by the mean scores from each
group.
Dynamic Indicators of Basic Early Literacy Skills (DIBELS), Subtest, Oral Reading
Fluency (ORF)
Comparing the participants oral reading fluency skills through pre-and posttraining test scores on the DIBELS, subtest ORF, the group receiving modified-RAVE-O
training displayed a mean score increase of 11.33, while the traditional phonological
awareness training group displayed a higher mean score increase of 16.67. An increase in
the number of words read per minute represents an improvement in the ability to decode
accurately and fluently with connected text. Therapy in both groups included direct
phonological awareness activities; however, the modified-RAVE-O group spent less
concentrated time on phonological awareness activities as the training phases evolved
into onset and rimes, multiple meanings, word webs, and orthographic activities.
Additionally, during the course of the training one participant from the modifiedRAVE-O group had frequent absences, which may have contributed to the lower mean
increase for the group.
Peabody Picture Vocabulary Test 4th Edition (PPVT-4)
Comparing the participants receptive language skills through pre-and posttraining test scores on the PPVT-4, the group receiving modified-RAVE-O training
displayed a mean score increase of 0.33, while the traditional phonological awareness
47
training group improved considerably more with a mean increase score of 16.67. Both
groups pre-therapy mean standard scores (SS) were very close in range with the
modified-RAVE-O group SS of 90, and the traditional phonological awareness training
group SS of 91.67. An increase in the ability to understand spoken words is evidence of
improved vocabulary acquisition. Post-therapy results indicated the traditional
phonological awareness training participants enhanced their vocabulary acquisition
concurrent with improving oral reading fluency skills.
Phonological Awareness Skills Program Test (PASP)
Comparing the participants phonological abilities through pre-and post-training
test scores on the PASP test, the group receiving modified-RAVE-O training displayed a
higher mean score increase of 4.67, while the traditional phonological awareness training
group displayed a mean score increase of 2.33. Again, both groups pre-therapy mean
standard scores (SS) were very similar in range with the modified-RAVE-O group mean
SS of 10.67, and the traditional phonological awareness training group mean SS of 10.33.
An improvement on the PASP Test may be safely interpreted to indicate improvement on
other tasks that depend on phonological awareness skills (Rosner, 1999, p. 2).
Expressive Vocabulary Test 2nd Edition (EVT-2)
Comparing the participants expressive vocabulary skills through pre-and posttraining test scores on the EVT-2, the group receiving modified-RAVE-O training
displayed a higher mean score increase of 6.67, while the traditional phonological
awareness training group displayed a mean score increase of 5.67. Again, both groups
pre-therapy mean standard scores (SS) were similar in range with the modified-RAVE-O
48
group mean SS of 86.00, and the traditional phonological awareness training group mean
SS of 88.00. Improved scores on this test of vocabulary knowledge can contribute to an
increase in literacy skills.
Clinical Evaluation of Language Fundamentals 4th Edition (CELF-4), Subtest Rapid
Subtest Rapid Automatic Naming (RAN)
Comparing the participants rapid automatic naming abilities through pre-and posttherapy training test scores on the CELF-4, subtest RAN, the group receiving modifiedRAVE-O training displayed a lower mean decrease of -27.33 seconds, while the
traditional phonological awareness training group displayed a higher mean decrease of
-50.33 seconds. In the scores for errors pre- and post-therapy the modified-RAVE-O
group displayed a mean increase of 2.00, while the traditional phonological awareness
training group displayed a mean increase of 0.33. An increase in scores on Rapid
Automatic Naming subtest of the CELF-4 indicates an improvement in the ability to
automatically activate decoding skills for speed of processing, efficiency of working
memory, and fluency and accuracy in reading and writing (Semel, Wiig, & Secord, 2003).
49
Table 11
Post-Therapy Comparison in Mean Changes of Scores
Modified RAVE-O Group
DIBELS
Traditional Phonological Awareness Group

DIBELS
Oral Reading Fluency
Oral Reading Fluency
11.33
PPVT-4
16.67
PPVT-4
0.33
EVT-2
3.67
EVT-2
6.67
PASP
5.67
PASP
+4.67
+2.33
CELF-4
CELF-4
Rapid Automatic Naming/Seconds
Rapid Automatic Naming/Seconds
-27.33
CELF-4
-50.33
CELF-4
Rapid Automatic Naming/Errors
Rapid Automatic Naming/Errors
2.00
0.33
Outcomes of this intervention training support the usefulness of phonological

awareness training with 2nd grade children identified as having reading problems. In
summing up the post-therapy comparison scores, it appears the participants of the
traditional phonological awareness training group demonstrated a larger mean increase in
oral reading fluency abilities (67.67), and receptive vocabulary skills (3.67). Additionally,
the same participants demonstrated an improvement in their ability to rapidly and
50
automatically name shapes and colors with a mean decrease of (-50.33), while increasing
their mean error rate by only (0.33). This same group fell behind the modified-RAVE-O
group in mean increases in phonological awareness skill, and in expressive language
ability. The modified-RAVE-O group on the other hand, demonstrated less improvement
(+11.33) in oral reading fluency skills than the traditional phonological awareness
training group, and made only a slight improvement in receptive language skills (0.33).
Additionally, the modified-RAVE-O group demonstrated an improvement in rapid
automatic naming ability with a decrease in time of (-27) seconds, but again, not as
substantial as the traditional training group. The modified-RAVE-O group surpassed the
traditional training groups improvement in both phonological awareness skill and
expressive language ability. Although the results from this study revealed a more
prominent efficiency in phonological awareness training without contextualized therapy,
the degree of impact from simple variables likely influenced the results. These variances
will be discussed in the following chapter on Implications.
51
Chapter 5
IMPLICATIONS
The findings of this study support the suggestion of Fey, Catts, and Larrivee
(1995) that speech-language pathologists should train phonological awareness skills to
children who have reading difficulty. The intent of this research was to determine whether
or not adding the component of contextualized material to phonological awareness
training would better increase the improvement of decoding skills (e.g., more fluent
reading). Essentially, the results revealed the participants receiving the traditional
phonological awareness training (decontextualized) improved in their ability to decode
faster by the end of the six-week training, versus the modified-RAVE-O (contextualized)
phonological awareness training participants. The difference of mean score increases
between the modified-RAVE-O and the traditional phonological awareness training
groups provided a counter perspective on the emerging trend to incorporate
contextualized content in phonological awareness therapy activities.
Variable factors which came into play during the course of the six-week training
may have influenced the outcome of the study. One factor that possibly contributed to
lower mean changes in scores for the modified-RAVE-O group was the number of
absences the participants had during the six weeks of training. Participants 1 and 3 each
missed one of the two initial readings of the selected story. Since the progression of the
training had strict time limitations the two participants were not provided the opportunity
of hearing the story read more than once. This early deviation from the training sequence
could have contributed to a disconnect to the core words from the story. Additionally, the
52
same two participants had three more combined absences, one mid-training, and one each
in weeks 5 and 6. Although a review of the previous training session was incorporated
into each modified-RAVE-O phase, it became evident that absences impacted the
retention of previously taught material. The traditional phonological awareness training
group had a total of two absences, both by Participant 3. Interesting to note that
Participant 3 of the traditional group also received speech-language therapy services
twice weekly, for thirty minute group language sessions, and did not appear to
demonstrate difficulty retaining previously taught training material. It was quite possible
that his training during speech-language services carried over and enhanced his
performance in the study group. All six participants received an additional thirty minutes
of extended day academic support, three days a week, the duration of the study. Another
factor likely adverse to this study was the DIBELS assessment monitoring had only
recently been implemented at the Taylor Street School. Prior to DIBELS being introduced
in fall 2008, no previous standardized benchmarks of letter-word identification or
decoding skills for the participants had been done. In retrospect, administering the
DIBELS letter naming fluency, phoneme segmentation fluency, and nonsense word
fluency subtests may very well have provided useful information about the participants
phonemic awareness background.
The study went on to further reveal interesting occurrences that may have also
affected the outcome, such as, the modified-RAVE-O participants exceeded the
traditional training group in their scores on the PASP and the RAN assessments. These
tests assessed phonological awareness ability, and decoding skill, respectively, and should
53
have parlayed into better results for the modified-RAVE-O training group. The question
begs askingWhy didnt it? One hypothesis is that the reduction of carryover of
phonological awareness abilities, and decoding skills from pre-testing results to the
modified-RAVE-O training results may have been considerably compromised by the
increased absences the modified-RAVE-O group had during the six-week training.
Another interesting occurrence was the lower level of receptive language improvement
the modified-RAVE-O group demonstrated on the post-training testing. Although the
group made an overall mean level of performance increase of +0.33, it was far less than
the traditional training group mean level of performance increase of +16.67. This large
difference could be attributed to the contextualized story being too difficult for the
modified-RAVE-O participants to understand, or perhaps the increased language load of
the multiple meaning words was too much for their language acquisition device to
absorb. After all, the participants were reported to have problems with reading which is
just a share of the overall continuum of language. Otherwise, as discussed earlier, perhaps
the increased number of absences for the modified-RAVE-O group during training
prevented a deeper level of language retention.
Typically, research is based on a larger sampling of participants which produce a
larger amount of data that is largely more agreeable to statistical scrutiny. In this study it
was quite possible that a larger sample of children, coupled with an extended training
period would have been more beneficial in determining participants improvement to the
methods of this study. In spite of these limitations, I am reasonably confident that
the improvement of oral reading fluency skills demonstrated by both
54
groups resulted from the extra phonological awareness training and
not solely from experiences in the regular curriculum. Additionally, this
study raised some interesting questions. Because of the complexity of
the modified-RAVE-O training program, and the limited time of twice
weekly, 30 minute sessions this study had to work with, did the
modified-RAVE-O training group have a compromised element of
training due to the time constraints inherit in cycling through all the
components of the four phase of the training? Would the modifiedRAVE-O training been more effective if it had been longer in duration,
say ten to twelve weeks, instead of the eight week duration of this
study? An interesting research design might be to increase the
number of participants to generate more data, extend the duration of
the training program as well as increase the training sessions time.
This would allow for an enhanced revisit of previous sessions material,
and increased practice time for the phonological awareness piece in
each phase of the modified-RAVE-O training.
55
APPENDICES
56
APPENDIX A
Parental Consent
To Allow My Child to Participate In a Phonological Awareness Training Study
I agree to allow my child to participate in a six week Phonological Awareness Training (PAT)
study to be conducted by Mrs. Lorri Street, a graduate student of the Speech-Language Pathology
and Audiology Department, at California State University, Sacramento. Mrs. Street is also a
Speech Therapist, who will begin working full time at the Taylor Street School in January, 2009.
Phonological awareness is the understanding of the different ways that spoken language can be
broken down into smaller parts. Smaller parts of the spoken language include breaking down
sentences into words, words into syllables and syllables into individual sounds. When children
understand that words can be divided into individual sounds and that sounds can be put together
to make words, they will be better able to use this knowledge to improve their reading skills.
The selection of students for this study was determined by the following criteria: 1.) Second grade
students who will be between the age of 7 years, and 7 years 11 months, during the six week study
period. 2.) Students who have been identified as having below grade-level decoding (reading)
skills. 3.) Students who are English only speakers. 4.) Students who have similar academic
performance levels. 5.) Students who come from similar socio-economic environments.
I understand that Mrs. Street will administer to my child three individual assessment tests. Three
before the training begins and then the same three tests at the completion of the six week
training. Scores from the before and after assessment tests will then be compared.
I understand that the before and after assessment testing is important in order to assess my
child's ability to visually process and store visual stimuli in working memory, and to measure
his/her phonological awareness and vocabulary skills. The total testing time should take no
longer than two hours per student--one hour before the beginning of the training and one hour
at the completion of the six week training. I understand that during the assessment testing my
child might become anxious or frustrated, and that Mrs. Street will allow for frequent breaks
during the assessment period, and/or discontinue the assessment based on the individual needs
of my child.
I understand that during the six week study my child will be grouped with three other students
and provided phonological awareness training two times a week, for 30 minute sessions. I
understand that in order not to divert from my childs daily academic schedule, the training will
be conducted immediately after school on Mondays and Fridays. I understand that on Fridays
when there is no late bus option to transport my child home, I will be responsible for arranging
the pickup of my child at school.
The purpose of this study is to answer the following question: In a speech/language therapy
setting, are there significant differences in treatment outcomes between meaningful, literaturebased Phonological Awareness Training, versus the traditional non-literature based
Phonological Awareness Training? In a literature based PAT approach the intervention is
delivered with a direct connection to literature. In a non-literature based PAT approach the
intervention is delivered in isolated skill sets with no connection to literature.
57
I understand that in addition to the information on this consent form Mrs. Street will be
available either in person or by telephone to explain any procedures, and answer any questions
my child or I may have now, or as the study develops. I understand that my child's participation
is completely voluntary and that I may decide not to have my child participate at any time. I
also understand that if my child participates and should experience any discomfort during the
study, I may stop his/her participation at any time. I understand that Mrs. Street may end my
child's participation at any time also. Lastly, I understand that my child and I will not
receive any compensation for participating in this study.
Parents Signature ________________________
Date ____________________
58
APPENDIX B
Assent to Participate
(Childs name), your parent has given permission for you to be a part of a six week
reading and word training class with me. During the class I will teach you how to
change sounds in words to make new words, work with you on the definition of
words and teach you new meanings of words. Also, I will show you how words
belong to families, make word webs with you, and teach you to answer who, what,
when, where and why questions better. Before and after the training begins I must
give you three short tests that will tell me how you are doing in your reading and
word skills. You and I will do the tests in the Speech Therapy room, and you can
have breaks during the testing time. Also, you can ask for a break anytime you feel
you need one. Once the tests are finished we will work together for six weeks after
school, on Mondays and Fridays, for thirty minutes each day.
One of the groups of three students will be using a classroom reading book during
the training to help build their reading and word skills. The other group of three
students will use board games, word building worksheets, and sound changing
activities. I want you to know that that even though your parents gave me
permission for you to be a part of this training it is okay for you to say no thank you
to me. No one will be upset with you if you decide not to do the training.
At this point, I will ask the student if he/she wants to be a part of the training. If the
student agrees to participate, he/she will write their initials on the yes line and put
in the date.
Yes I will participate: ___________________
Date: ______________________
59
APPENDIX C
Parent Letter
January 5, 2009
Dear Parents of _________________________,
Starting on Monday, January 12, 2009, I will begin providing the extra phonological
awareness training we talked about during teacher conference week. The pre- and posttesting will be conducted during weeks 1 and 8. The training will be held twice weekly,
for 30-minute sessions during weeks 2-6, for a total of 8 consecutive weeks. Please make
arrangements for the transportation home of your child during this period of time.
Because I have such a short period of time to provide the, your commitment to having
your child present at school during this time will be most appreciated.
Should you any further questions please call my room anytime at 927-5340, ext. 514.
Again, I thank you for allowing me this opportunity to assist your child in becoming
more practiced in phonological awareness activities.
Regards,
Lorri L. Street, M.S., RPE/CFY Speech-Language Pathologist
Taylor Street School
60
APPENDIX D
Modified RAVE-O Training
Week 2
Modified-RAVE-O group
Phonological Awareness Activities: At the word level included counting words,
identifying missing words from a list, and identifying a missing word in a phrase or
sentence. Activities at the syllable level included syllable counting, syllable deleting,
syllable adding, syllable reversing, and syllable substituting. Activities at the phoneme
level included initial sound matching, blending onset-rimes in monosyllabic words
beginning with blends and single consonant, rhyme recognition, sound categorization,
matching initial and final sound-to-word, supplying initial and final sounds in words,
segmenting initial and final sounds in words, deleting initial and final sounds in words,
substituting initial and final sounds in words, segmenting the middle sound in
monosyllabic words, and deleting sounds within words. Additionally during week 2,
Tomas and the Library Lady, a salient language arts curriculum story was read to the
participants twice.
Tomas and the Library LadyTomas lived with his Mama, Papa, Papa Grande and his little brother, Enrique. His
parents were migrant workers. They picked fruit in Texas in the winter and in Iowa in the
summer. They were on their way to Iowa for the summer. Tomas had always enjoyed
listening to his Papa Grande's stories, and he knew all of them by heart. So, Papa Grande
encouraged Tomas to go to the library in Iowa and tell them more stories. The next
morning when he reaches the library he becomes very intimidated by the big library.
Well, things change once he meets the library lady. She is so warm and inviting to Tomas
that Tomas spends the whole day at the library reading. Using her own card, the library
lady checks out two books for Tomas to take home and read. While reading, Tomas gets
lost in adventures with dinosaurs.
During the course of the summer, Tomas teaches the library lady some Spanish, while she
encourages him to read more books. There is a tearful goodbye as Tomas gives the library
lady some pan dulce (sweet bread) and she gives him a book. The summer is ending and
it is now time for Tomass family to go back to Texas.
61
Week 3
Phonemes
Core Words
Rime Patterns
/p/
pick
-ick
/d/
dump
-ump
/l/
light
-ight
/h/
hot
-ot
/k/
cold
-old
Possible Words: -ick family: pick, sick, -old family: cold, fold, -ump family:
jump, ot family: got, not, -ight family: right, tight
Orthographic representation
bump,
62
P ick
C old
D ump
L ight
H ot
63
Week 4
Phonemes
Core Words
Rime Patterns
/p/
pick
-ick
/d/
dump
-ump
/l/
light
-ight
/h/
hot
-ot
/k/
cold
-old
/t/
/m/
Possible New Words: -ick family: slicker, pickles, -old family: coldest, folder, -ump
family: grumpy, jumping, ot family: forgotten, hotter, -ight family: brighter, frighten
Multiple Meanings
pick = tool, or an action
dump = to pour something, place to take garbage
light = something not heavy, lamp
hot = outside temperature, sensation
cold = to be sick, outside temperature
64
Week 5
Phonemes
Core Words
Rime Patterns
/p/
pick
-ick
/d/
dump
-ump
/l/
light
-ight
/h/
hot
-ot
/k/
cold
-old
/t/
/m/
Possible New Words: -ick family: cricket, quickest, stickers, -old family: goldfish,
penholder, scolding, -ump family: umpire, pumpkin, dumpling, ot family: robotic,
cottage, lottery, -ight family: delight, rightful, frightening
Multiple Meanings
pick = steel , tool, or an action, small piece of plastic used to pluck a guitar
dump = to let fall, a place to take garbage, to sell in quantity at very low price
light = not heavy, electric light, lacking stability
hot = outside high temperature, body sensation, something illegally obtained
cold = to be sick, outside low temperature, lack of human emotions
Core Words WH-?s

Who might use a pick at their work?
65
Where would you find a pick?
Why do people pick teams?
What do you do when you have a cold?
Where can you go that is very cold?
Why do people go to the dump?
When would you dump out paint?
Who would have a light in their house?
Why are balloons light?
When you hold a balloon what does it do?
What can you do when its hot outside?
Where do the police take a hot car?
What would you do if someone tried to give you a hot Xbox game?
66
Week 6
Phonemes
Core Words
Rime Patterns
/p/
pick
-ick
/d/
dump
-ump
/l/
light
-ight
/h/
hot
-ot
/k/
cold
-old
/t/
/m/
New Words: -ick family: ticket, snickers, -old family: golden, scaffolding, -ump
family: humpty-dumpty, trumpet, ot family: otter, ottoman, -ight family: lightening,
plight
Multiple Meanings
pick = steel , tool, or an action, small piece of plastic used to pluck a guitar
dump = to let fall, a place to take garbage, to sell in quantity at very low price
light = not heavy, electric light, lacking stability
hot = outside high temperature, body sensation, something illegally obtained
cold = to be sick, outside low temperature, lack of human emotions
Core Word Sentences

My ____________ needs to be sharpened.
Will you ___________ me for your team?
The weather outside was very _________.
I have a _____________ and I feel terrible.
________ all of your marbles onto the floor.
The ____________ smelled like rotten food.
The balloons were very _______________.
Turn on the ________ so you can see better.
The policeman said the car was _________.
I was very _________after playing at recess.
67
APPENDIX E
Traditional Phonological Awareness Training
Week 2
Rhyming Activities:
Listening and discriminating rhyming words.
Rhyme picture matching without print.
Identifying two out of three printed rhyming words.
Producing rhyming words when given a stimulus word.
Week 3
Sentence Segmentation Activities:

Breaking sentences into individual words by means of clapping out the words in the
given stimulus sentence.
Listening to the stimulus sentence and putting together colored the cubes representing the
number of words heard in a sentence.
Week 4
Syllable Segmentation and Blending Activities:

Listening to and discriminating words into syllables by clapping out the syllables
Listening to stimulus words and putting together colored cubes representing the number
of syllables heard.
Syllable blending activities had participants listen to stimulus syllables and put them
together to identify the word. For example: Ti-ger (Say and clap ti-ger) The
participants were also asked to identify how many syllables they heard in a word. For
example: How many parts?(two). Tiger has two syllables (ti-ger).
Syllable deleting, adding, reversing and substituting were other activities included in the
syllable segmentation and blending tasks.
Week 5
68
Onset rime and Syllable Blending & Segmentation Activities:

Onset-rime introduced the participants to the idea of word families, and helped develop
their concept of rime versus rhyme.
Week 6
Blending and Segmenting Individual Phoneme Activities:

Blending phoneme activities included listening to a sequence of individual sounds and
combining them to produce a word (e.g., /b/a/d/ for bad).
Other activities at the phoneme level included initial and final sound matching, supplying
initial and final sounds to word parts, deleting initial and final sounds in words,
substituting initial and final sounds in words, and deleting sounds within words.
69
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EFFECTS OF PHONOLOGICAL AWARENESS: CONTEXTUALIZED VERSUS

DECONTEXTUALIZED TRAINING APPROACH

Submitted in partial satisfaction of

CALIFORNIA STATE UNIVERSITY, SACRAMENTO

EFFECTS OF PHONOLOGICAL AWARENESS: CONTEXTUALIZED VERSUS

Name of Student: Lorri L. Street

Department of Speech Pathology and Audiology

each beyond your known abilities

nvest all you have in your dreams

xpect to experience success

Dynamic Indicators of Basic Early Literacy Skills (DIBELS), Subtest, Oral

Modified RAVE-O Group. DIBELS. Mean Levels of Performance........................35

Traditional Phonological Awareness Training Group. DIBELS. Mean Levels of

Modified RAVE-O Training Group. PPVT-4. Mean Levels of Performance...........38

Traditional Phonological Awareness Training Group. PPVT-4. Mean Levels

Modified RAVE-O Training Group. EVT-2. Mean Levels of Performance.............40

Traditional Phonological Awareness Training Group. EVT-2. Mean Levels

Modified RAVE-O Training Group. PASP. Mean Levels of Performance...............42

Traditional Phonological Awareness Training Group. PASP. Mean Levels

Modified RAVE-O Training Group. CELF-4. Mean Levels of Performance..........44

Traditional Phonological Awareness Training Group. CELF-4. Mean

Post-Therapy Comparison in Mean Changes of Scores...........................................51

Dynamic Indicators of Basic Early Literacy Skills (DIBELS), mean level of

Peabody Picture Vocabulary Test 4th Edition (PPVT-4)........................................39

Expressive Vocabulary Test, Second Edition (EVT-2).............................................41

Phonological Awareness Skills Program Test (PASP)..............................................43

Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Therapy Deviation Therapy Deviation Increase/Decrease

Therapy Deviation Therapy Deviation Increase/Decrease

Therapy Deviation Therapy Deviation Increase/Decrease

Therapy Deviation Therapy Deviation Increase/Decrease

Group Comparisons: Peabody Picture Vocabulary Test 4th Edition

Therapy Deviation Therapy Deviation Increase/Decrease

Figure 3. Expressive Vocabulary Test, Second Edition (EVT-2) (Williams, 2008).

Group Comparisons: Phonological Awareness Skills Program Test

Figure 4. Phonological Awareness Skills Program Test (PASP) (Rosner, 1999).

Group Characteristics: Clinical Evaluation of Language Fundamentals 4th Edition,

Group Comparisons: Group Characteristics: Clinical Evaluation of Language

Figure 5. Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Figure 6. Clinical Evaluation of Language Fundamentals 4th Edition, subtest Rapid

Traditional Phonological Awareness Group

Oral Reading Fluency

Oral Reading Fluency

Rapid Automatic Naming/Seconds

Rapid Automatic Naming/Seconds

Rapid Automatic Naming/Errors

Rapid Automatic Naming/Errors

Outcomes of this intervention training support the usefulness of phonological

Parents Signature ________________________

Yes I will participate: ___________________

Core Words WH-?s

Core Word Sentences

Sentence Segmentation Activities:

Syllable Segmentation and Blending Activities:

Onset rime and Syllable Blending & Segmentation Activities:

Blending and Segmenting Individual Phoneme Activities:

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